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MRS. RENEE FAGAN MSW, LCSW
NPI 1467471029
Social Worker - Clinical in Pine Brook, NJ

Active since July 18, 2006PECOS EnrolledAccepts Medicare Assignment
328 CHANGEBRIDGE RD # 200, PINE BROOK, NJ 07058(201) 396-7129 Get Directions Write a Review

NPPES record last updated: May 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Renee Fagan Msw, Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. RENEE FAGAN MSW, LCSW (NPI 1467471029) is an individual clinical provider in Pine Brook, New Jersey, licensed in New Jersey (SC07498) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1975).

NPPES Registry Identity

NPI1467471029
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. RENEE FAGANCredential: MSW, LCSW
Location Address328 CHANGEBRIDGE RD # 200Pine Brook, NJ 07058-9805
Mailing Address328 Changebridge Rd # 200Pine Brook, NJ 07058-9805 · (201) 396-7129
Phone(201) 396-7129
Sole ProprietorYes
Medical School CMSOtherGraduated 1975
Enumeration DateJuly 18, 2006
Last NPPES UpdateMay 19, 2025
NPPES CertifiedMay 19, 2025
✔ NPI 1467471029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NJ · SC07498
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
328 CHANGEBRIDGE RD # 200, Pine Brook, NJ 07058
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Renee Fagan Msw, Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668413964
PECOS Enrollment IDI20050517000765
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07058 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $63.84 – $190.92
Typical copayment $0.00 (range $15.96 – $47.73)
Most-billed visit code NA
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEALING JOURNEY THERAPY AND WELLNESS
Social Worker (Clinical)
328 CHANGEBRIDGE RD # 200
PINE BROOK, NJ 07058
Morris County (201) 776-1170
MS. CHRISTINE M JEFFREY MSW, LSCW LLC
Social Worker (Clinical)
328 CHANGEBRIDGE RD # 200
PINE BROOK, NJ 07058
Morris County (973) 653-8400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Renee Fagan's NPI number?

The NPI number for Renee Fagan is 1467471029. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Renee Fagan located?

Renee Fagan practices at 328 Changebridge Rd # 200, Pine Brook, NJ 07058. The listed phone number is (201) 396-7129.

What is Renee Fagan's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Renee Fagan enrolled in Medicare?

Yes. Renee Fagan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Renee Fagan was last updated on May 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.